LASN Board of Directors Nomination Form
Please complete the following form to nominate a candidate for the LASN Board of Directors. Before submitting this form, please ensure the individual you are nominating has already accepted the nomination. Nominees must be in good standing with their School of Nursing and must be current members of both the National Student Nurses’ Association (NSNA) and the Louisiana Association of Student Nurses (LASN). You must provide accurate contact information for the nominee, including email and phone number, as we will contact them directly to verify their nomination. If you have any questions or concerns regarding the nomination process, please email executivedirector@lsna.org. Please note: all sections of this form must be completed. Incomplete forms will not be recognized or considered. In addition, nominees must submit a Headshot and Short Biography to be placed on the Ballot.
Nominee's Full Name
Nominee's Email Address
Nominee's Phone Number
Your Name
Your Email Address
School from which you are nominating
Why are you nominating this individual?
For what position are you nominating them for?
Please Select
Secretary
Breakthrough to Nursing Director/Membership Director
Social Media/Communications Director
Editor/Historian
Region 2 Director
Region 4 Director
Has the nominee accepted your nomination?
Yes
No
Is the nominee a member of NSNA?
Yes
No
Is the nominee a member of LASN?
Yes
No
Is the nominee a member of their local SNA?
Yes
No
Have you reviewed the Nominations and Election Packet?
Yes
No
Signature
Submit Nomination
Submit Nomination
Should be Empty: